Health Promotion In Relation To Holistic Care

rise upness Promotion In Relation To Holistic wangleThis essay will attempt to discuss the signifi flockce of the link surrounded by health promotion and holistic parcel out for the patient. Firstly, the patient will be introduced and a definition of holistic headache and sagaciousness will be given. Secondly, the health promotion dumbfound and nursing preventives will be describe and discussed. Fin bothy this essay will reflect on the strengthiveness utilising of health promotion imitates care rounded up by a demonstration of the findings. Names in this essay have been changed to protect the patients identity and reserve confidentiality in accordance with the nursing and midwifery councils guidelines (NMC, 2008). Verbal consent was obtained by the client and her family, to use their primary anonymised details.The patient, who for the purpose of this essay sh solely be cognise as Jane, is 21 years old and has an acquired hotshot injury (ABI) sideline a road traffic accident. An ABI is defined by Headway (2010), the brain injury association, as an injury caused to the brain since birth. Jane has problems remembering information and continually rep eats what she says, and as well repetition of speech, known as perseveration. Jane was originally admitted onto the neuro rehabilitation screen to address challenging behaviours at hearthstone and side by side(p) successful interventions was due(p) to be discharged when an appropriate care package could be dedicate into place. Due to the complexity of Janes condition her care package was taking prolonged than planned. While waiting for discharge, Jane, who usually lives at home with her mother, has undertaken many home visits. It then became apparent that Jane was losing heaviness to the extent that she had become underweight and it became indispens subject for this to be communicate before Jane could be discharged.It was important that Janes weight was addressed as after a Mal victual Univ ersal Screening Tool (MUST) assessment was carried out it was concluded that Jane was at high essay from malnutrition. MUST is a screening tool that recognizes malnutrition and those at risk of malnutrition. It encourages multidisciplinary make foring which improve clinical conclusion (BAPEN 2003). At 5 foot 7 inches and weighing 53 kilograms Janes body mass index (BMI) was 19. She also had lost approximately 0.5 kilograms a week for the prior four weeks meaning she had lost nearly 5 percent of her body weight. Best (p.23, 2008) states that malnutrition is caused by an inadequate availability of nutrients, because of both poor intake or deficiency as a conduct of disease. It is widely accepted that adequate nutrition plays an important role in maintaining optimal health. succeeding(a) a healthy diet has lots of benefits, non only physically but mentally too. According to the World Health Organization (1948) health is a state of complete physical, mental and neighborly well- be and non merely the absence of disease or infirmity.Following this a complete holistic assessment was carried out. The world health governing body (WHO, 2004), states that holism is a concept which takes into account a patients mind, body and spirit. It includes all aspects of the client and carers life, for example, account of problems from both person and carer, psychiatric and physical health history, medication and compliance, social history, past and current hobbies and interests, daily living skills, cause and faith/religion. Each of these elements is seen as inter-related and as equally important so when any of the elements are compromised there will be an inevitable effect on the others (Ellis 1999, Brooker Waugh 2007).The assessment used for the patient is a trust establish holistic assessment founded on the Roper-Logan-Tierney Activities of Daily Living Model. Although published in 1980 this first toughie of nursing is just as relevant today. The model identifies th e 12 activities of daily living as communication breathing take and crapulence eliminating sleeping dying mobilisation managing a safe surround personal cleansing and dressing work and play expressing sexuality. These activities identify the basic health shoots with the emphasis on assessing the effect of the mind, body and person of each activity in relation to the persons health. They note how the activities are inter-related and not mutually exclusive (Roper et al 2000). They expanded on the inter-linked relationship between the patient, activities of daily living, factors which influence these activities (for example environmental factors), the lifespan and our level of dependence. It is because of these views that this model has been utilised as a true holistic assessment. Hinchcliff et al (2008), Brooker Waugh (2007) and Dougherty lister (2008) substantiate that assessment is an ongoing, complex, systematic and interactive affect. It involves gathering a site of infor mation from and about the client and then using that information to purpose the care, support and intervention that is required. The information is then clearly documented as in line with the Nursing and Midwifery Councils guidelines (NMC 2005).Subsequent to the assessment, Jane was discussed at the weekly multi-disciplinary aggroup (MDT) coming together, as in accordance with the NMC code which states that nurses must work together with other professionals as a team whilst sharing and valuing each others skills and familiarity (NMC, 2008). The nurse is at the core of the clients care and can consequently communicate and negotiate the clients needs and preferences to other members of the interprofessional team (Day, 2006).Following the meeting various interventions were put in place Blood tests were ordered to find out for any underlying medical causes (test results were negative). Janes weight was to be monitored on a weekly basis, food and drink charts as well as nutrition ary supplement charts were to be completed by nursing staff and Janes relatives who very much took her out for meals. The Royal College of Nursings campaign Nutrition Now (RCN 2007) suggests that patients are also monitored to make sure that they are eating the food they are offered. protect mealtimes on the ward would be observed by all members of the multidisciplinary team as sometimes this was not adhered to. Nutrition Now (2007) also highlights the need for protected mealtimes so that there is a more relaxed atmosphere for patients to eat their meals and that they are assisted by nurses as well as health care staff to eat their meals. The dietician would review Janes nutritional intake speech and language would assess Jane for any swallowing difficulties Occupational therapy would observe Jane eating and drinking before making any recommendations Janes weight would be monitored and reviewed at following MDT meetings. Auty Rennie (2007) suggest that professionals working in i solation with a client sort of than in a team struggle to achieve the optimum consequent for the client as any treatment provided could be ineffective.Janes named nurse explained to Jane issues that had been discussed at the MDT meeting and that Janes weight would need to be stabilised before she could be discharged. Also a care plan would be put in place to address this issue. Nursing staff had already identified that Jane would be worried about beseeming overweight as this was something she relayed often during conversations with them. Rosenstockss health spirit model (1952) cited in Glanz (2005) works by exploring peoples perception and ways to inform, encourage and motivate change. There are six steps contained in this model Perceived susceptibility comprehend severity perceived benefits perceived barriers cues to action self-efficacy. These steps were applied to the issue of Janes weight.Jane was worried about becoming overweight (perceived susceptibility) and she was inf ormed of the risk to her health because of not eating adequacy. Janes reasonableness and judgement of the severity of the situation were difficult. Short-term memory problems and the inability to process information and make informed decisions are common problems associated with ABI (Headway 2009). Because of this the nurse smooth to Jane how her health would be affected and that she would not be well enough to be discharged (perceived severity). Jane appeared to understand that she needed to put on weight before she could return home, it was explained that her food intake would be monitored and that the dietician had revise her diet to include high calorie foods and supplements. Jane was happy to comply with the interventions as she knew she would be discharged but she was worried that she would not be able to eat and drink enough even if she wanted to (perceived benefits). Jane was reassured that she would be given support and guidance to ensure the best possible outcome (perce ived barriers). Although cues to action are directed more towards people living in the community it was adapted to meet Janes needs, she was given information in a format she could understand and also took part in Health alimentation Sessions with patients from other wards. Jane was supported and encouraged to eat snacks as well as her unshakable meal, food she enjoyed was made available to her at anytime. She also had regular motivational chats with her named nurse (self-efficacy).The Tannahill model (1985) cited by Downie et al (2002) was also utilised. This model defines health promotion as an approach to improving health and decrease the risk of ill health through incorporating three processes health tuition prevention protection. Health education influencing peoples behaviour and attitudes encouraging positive well being and diminishing ill health. Prevention and protection to diminish the risk of disease developing by interventions, that is, primary Giving people the knowled ge to make intermit choices with regard to their health, for example, risks related to smoking immunization. Secondary intervention Health screening for early detection, for example, smear tests, smoking cessation. Tertiary Managing conventional disease and preventing complications, for example, rehabilitation advice after stroke or serious injury. aegis through government policies public health and health promotion programmes can improve health, reduce disease risks, manage chronic illness, improve wellbeing, promoting self-direction of individuals.In conclusion the holistic assessment and health promotion and belief models have worked well for the patient. It allowed the multidisciplinary team to put together an effective care plan. The nurses involved with Janes care gave lots of encouragement and advice to Jane and because nursing staff followed the care plan Jane began putting weight on. Although the reason why she needed to do so and the reassurance that she would not becom e overweight had to be explained to Jane continually because of her short-circuit term memory problems. The effectiveness of the care plan is apparent as despite NICE bringing in Providing nutritional support for adults guidelines and the inlet of specialist nutrition teams, being brought in over the last twenty years there are compose patients who are somehow being missed and are under-nourished (Holder 2009). Additionally NICE guidelines (2006) state that knowledge of causes, effect and treatment of malnutrition among healthcare professional in the UK is poor. It goes on to say that all health professionals linked with patient care should be trained in knowing how to provide ample nutrition for peoples needs. This can be seen to still be a major factor in the improvement of nutrition for health. Holder (2009) asserts that nurses need to be aware of all initiatives nationally, regionally and at heart their own trust so they are able to provide better nutrition for their patie nts.1943 words